Individual
DR. KATHLEEN LEA SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
(217) 245-9541
(217) 606-3057
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036103814
IL
208M00000X
Hospitalist Physician
Primary
036103814
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L86359
—
IL
05
—
L97187
—
IL
05
—
L997718
—
IL
Enumeration date
01/18/2007
Last updated
07/15/2025
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